| NPI | 1104468891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009594A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172343A) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-12-06 |